Individual
BRENDA A DOS SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC LCADC NCC CCS
Contact information
Practice address
130 MAPLE AVE STE WB2, RED BANK, NJ 07701-1736
(201) 528-3315
Mailing address
600 VIOLET LN, JACKSON, NJ 08527-4152
(201) 640-5094
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/02/2021
Last updated
11/22/2022
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